Four score and seven years ago our fathers brought forth on this continent, a new nation, conceived in liberty, and dedicated to the proposition that all men are created equal. I have a dream that one day this nation will rise up and live out the true meaning of its creed: "We hold these truths to be self-evident; that all men are created equal."-Martin Luther King, Jr. I Have a Dream, 1963. We...

Intestinal absorption and bacteriology of the ileal contents were compared in seven patients with continent ileostomy and seven patients with conventional ileostomy. The absorption of vitamin B12 was reduced in five patients with continent ileostomy and subnormal in two patients with conventional ileostomy. Steatorrhoea was present in four patients with continent and one patient with convention...

CONTEXT AND OBJECTIVE Anorectal malformations comprise a spectrum of anomalies that continue to be difficult to treat, even today. The aim was to evaluate the fecal continence of children who underwent posterior sagittal anorectoplasty due to anorectal malformations, via computerized anorectal manometry and profilometry. DESIGN AND SETTING Prospective study at Universidade Federal de São Paul...

The concept of a continent stoma is an attractive one. This has been achieved with varying success for ileostomies made with a Koch pouch but not for colostomies. Permanent ileostomies, and to a proportionally lesser extent colostomies also, are becoming increasingly rare following increased expertise in sphincter saving operations, mucosal proctectomy and the success of the Jand W-ileoanal pou...